All you have to do is read this post and respond to it in 1-2 paragraphs and use at least 2 sources. 3 is preferred but if you can only find 2 that is no problem.  The goal of the reply is to "provide further suggestions on how their database search might be improved." POST:  I work on an acute inpatient psychiatric unit where all of the patients have been detained on involuntary holds. A high number of these patients are readmitted over and over again. There are several agencies in my county that serve the same population, the patients hop from one facility to the next depending on who has an open bed. Having witnessed this firsthand, I can appreciate the need for strong outpatient support services and timely follow up appointments. My clinical area of interest deals with how prompt follow up care is associated with a reduction in rapid (within 30 days of discharge) readmission rates. My PICOT question is: In psychiatric patients, how does having outpatient supports and follow up appointments in the first 30 days of discharge compared with having delayed follow up care or no follow-up care affect readmission rates to an inpatient psychiatric facility within 30 days of discharge? For the search, I used CINAHL Plus with full text, MEDLINE with full text, PubMed, PsychInfo, and Academic Search Complete all accessed through the Walden library (Walden University, 2019). The terms used during this search included “psychiatric readmission”, “psychiatric readmission rates”, “behavioral health,” or “mental health” in the first search box. Additionally, the terms “psychiatric units,” “adults,” “inpatient psychiatry,” “rehospitalization,” “prevention,” “psych hospitals,” and “readmission rates” were used. Using Boolean operators “AND” and “OR” I was able to focus my search further to better answer the PICOT question (Walden University Library). In general, I prefer to narrow my searches by choosing full text, peer-reviewed journals and limiting the date range within the last five years.  In the CINAHL database, I used the search terms “psychiatric readmission rates” AND “factors or causes or influences,” this search yielded 52 articles, they were trimmed down by checking the full-text box (33 articles) and limiting the date range to 2015-present. The use of these additional modifiers reduced the results to 17 articles. There are one or two that may be useful to my PICOT question, but there not enough quality results. I then searched “readmission” AND “psychiatric units” AND “adults,” which resulted in 147 articles. These were further focused by selecting ‘full text”, peer-reviewed”, and “academic journals” with a date range between 2015-present. This resulted in 25 articles, many of which look to be useful for this project. The formation of a PICOT question is the first step of evidence-based practice (Melnyk & Fineout-Overholt, 2019). According to Melnyk and Fineout-Overholt (2019), it is essential to formulate a focused, well-designed PICOT q.

1. All you have to do is read this post and respond to it in 1-2
paragraphs and use at least 2 sources. 3 is preferred but if you
can only find 2 that is no problem. The goal of the reply is to
"provide further suggestions on how their database search might
be improved."
POST:
I work on an acute inpatient psychiatric unit where all of the
patients have been detained on involuntary holds. A high
number of these patients are readmitted over and over again.
There are several agencies in my county that serve the same
population, the patients hop from one facility to the next
depending on who has an open bed. Having witnessed this
firsthand, I can appreciate the need for strong outpatient support
services and timely follow up appointments. My clinical area of
interest deals with how prompt follow up care is associated with
a reduction in rapid (within 30 days of discharge) readmission
rates.
My PICOT question is:
In psychiatric patients, how does having outpatient supports and
follow up appointments in the first 30 days of discharge
compared with having delayed follow up care or no follow-up
care affect readmission rates to an inpatient psychiatric facility
within 30 days of discharge?
For the search, I used CINAHL Plus with full text, MEDLINE
with full text, PubMed, PsychInfo, and Academic Search
Complete all accessed through the Walden library (Walden
University, 2019). The terms used during this search included
“psychiatric readmission”, “psychiatric readmission rates”,
“behavioral health,” or “mental health” in the first search box.

2. Additionally, the terms “psychiatric units,” “adults,” “inpatient
psychiatry,” “rehospitalization,” “prevention,” “psych
hospitals,” and “readmission rates” were used. Using Boolean
operators “AND” and “OR” I was able to focus my search
further to better answer the PICOT question (Walden University
Library). In general, I prefer to narrow my searches by choosing
full text, peer-reviewed journals and limiting the date range
within the last five years.
In the CINAHL database, I used the search terms “psychiatric
readmission rates” AND “factors or causes or influences,” this
search yielded 52 articles, they were trimmed down by checking
the full-text box (33 articles) and limiting the date range to
2015-present. The use of these additional modifiers reduced the
results to 17 articles. There are one or two that may be useful to
my PICOT question, but there not enough quality results. I then
searched “readmission” AND “psychiatric units” AND “adults,”
which resulted in 147 articles. These were further focused by
selecting ‘full text”, peer-reviewed”, and “academic journals”
with a date range between 2015-present. This resulted in 25
articles, many of which look to be useful for this project.
The formation of a PICOT question is the first step of evidence-
based practice (Melnyk & Fineout-Overholt, 2019). According
to Melnyk and Fineout-Overholt (2019), it is essential to
formulate a focused, well-designed PICOT question in order to
generate relevant information. The PICOT question should
include the patient population, intervention or issue of interest,
comparison intervention, outcome, and a time frame in order to
be specific enough to result in relevant results in a timely
fashion (Melnyk & Fineout-Overholt, 2019). Before formulating
a PICOT question, one must decide on a clinical area that
interests them and generate a background question, one that is
broad in nature (Stillwell, Fineout-Overholt, Melnyk &
Williamson, 2010). Once the broad question has been formed,
the next step is to narrow the area of interest into a foreground

3. question which is more specific and relevant to the topic
(Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010).
Utilizing the terms that comprise the PICOT, one can search
databases to find pertinent research for their inquiry (Melnyk &
Fineout-Overholt, 2019). More results can be obtained by using
synonyms in the search and by separating terms with “OR”
within the search boxes themselves (Walden University, 2019).
References
Melnyk, B. M., & Fineout-Overholt, E. (2019).
Evidence-based practice in nursing & healthcare a guide to best
practice
(4th ed.). Philadelphia: Wolters Kluwer.
Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M. &
Williamson, K. M. (2010). Evidence-Based Practice, Step by
Step: Searching for the Evidence. AJN, American Journal of
Nursing, 110(5), 41-47. DOI:
10.1097/01.NAJ.0000372071.24134.7e.
Walden University Library. (n.d.). Evidence-Based Practice
Research: CINAHL Search Help. Retrieved December 17, 2019,
from
https://academicguides.waldenu.edu/library/healthevidence/cina
hlsearchhelp
.
Walden University. (2019). Databases A-Z. Retrieved December
17, 2019, from
https://academicguides.waldenu.edu/az.php?s=19981
.